Share this page!

Enter URL or ID to Unroll

You can paste full URL like: https://x.com/threadreaderapp/status/1644127596119195649
or just the ID like: 1644127596119195649

How to get URL link on X (Twitter) App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
Jefferson L. Triozzi, M.D. Profile picture
Jefferson L. Triozzi, M.D.
@nepherson
Nephrology fellow interested in chronic kidney disease research and Romanian deadlifting. Likes & Retweets ≠ Endorsements
Soumya Adhikari Profile picture 1 subscribed
Feb 25, 2021 • 18 tweets • 8 min read
1/18

Let’s talk vancomycin and the kidney.🧪

A 65 y/o woman on week 4 of IV vancomycin for ankle osteomyelitis presents with AKI (Cr 6.32mg/dL) and elevated vancomycin level (136 mg/dL).

What’s to blame?
#tweetorial #MedTwitter #Nephtwitter #FOAMed #TwitterRx @TheSkeletonKG 2/18

Vancomycin nephrotoxicity is a challenging diagnosis because elevated vanc levels may be the cause and/or the effect of acute kidney injury.

Vanc nephrotoxicity is a diagnosis of exclusion based on:
◼️AKI
◼️Elevated vanc level
◼️No more likely explanation
May 12, 2020 • 22 tweets • 7 min read
1a/14

It’s 1:34 p.m. and the ED pages you for hyponatremia. 📟

A 45 y/o M with no known medical history presents after a seizure with a sodium of 102 mEq/L.

#tweetorial #MedTwitter #Nephtwitter #hyponatremia @theskeletonkeygroup

What's your first move? 1b/14

The initial evaluation of hyponatremia must “evaluate osmolality excluding hyperglycemia and other causes of non-hypotonic (SOsm >275) hyponatremia.” - per the European Guidelines (PMID: 24569125) 🇪🇺🇪🇺🇪🇺

We find a hyperosmolar hyponatremia: